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0136.97 Sewer/Water Permit/s (2)
. , � . �� _ � ' ...•'��`��a,�.�•', . . ' � .. ' ' „ ��i. . '�+^„ . . .. ' � � .. . � �� - :!I* . �, . :.� . . � � � ..i. .,s ��.r»; ' CLAY TOINNSHIP.�t�GIONAL-WAS7�,�I57�IGt �'r9� o . �. , _,: EINAL SANI�'AI�Y§EWER:PERMIt ;� , ; � '� .� �' ' ,.. , �, t �� ,: E ,;.,;. K , , . .< <.. . � ►NDN DUAL GUtB/EXI3TING BUILDINGS� „ �� � , ,i }-,... , ' . ��x. � � �#AV�AA�`L\ �Ol�� ' r .. . -.+ru'uiai �:�...�• . Project T,itle; -•�� - , - � � . �_ � Location: � .l%f.0 "�• �'.r`• AwnedBuilder. � �.h� 0" r F�`�-��c� �f � +'� a =^, •`".�' _ _ _, ,� , _ t + � a • � Lot;#' •3� _ St�eetAddress�0 '%T � ����� � �%��' , . // . ..;-� '/A ' � � L�i, + : � Ciiy: L�Q.s%ni� � �N.-Zip«��f' � � c,KU� , - � . ��`�` : � .' � ' s. „ 1�> r"'.'.t�,�� . n � . Availabilil"y Paid`. '_ Connectwn Fee Paid�a'y��� �?Ha�r`-• . . . .. .i �.i .H'r P�� A ��1� F L�' ' ' . _ ' :i . : f� .i.l , n'V, .. . � .., . � . ... ;��«s9_. '�. InterceptorCfiarges Paid —� Surcharges: �� ��� , � , < . . ` TM ' t ' ` � ^. y £« gI�S,�L�OT�: Installation of building�sewer sfiall be perdhe`sp'ecifications oi {he Clay� ' "' g' ( verse). All mstallations 'shall be insbecled,;�y bisirict . _ Township Re ional Waste Dislnct see re personnel dunng opem trench phase an'd before backfillmg with s`arid o� stone�to �I� inches , , ° aboVe the pipe',.[�Q footiiig or foundation�drems o'r other�sources of pround or siormw@tef �shall pe�permitted to�enter the pistrict'ssamtary sewer syslein. The,bistrid will es'sum� No l��blli{y fo� . drains whicfi are below the grade;level of the.nearest downstream manhole no�for(a{�tsl3 which ` are eztended tieneath d�iveways o�3sid'ewalks:°The permit holdet(property'o`wne� �d"ev�iober o_r' 6uHder)'will be responsi6le, For�damageS.io"the Dist�icts sewers 3ystem'Includin� ffiAhholes; castings', mantiole�lids and the like„cau`sed by constiuction aclfvify on tlie,buildm� glt�:w6lcFris _ _ . r a . �, ; -. - lhe;subjecl ofthis;permit; lhe permit holderls�Iso�,responsible. , ' " �' .��`._- � ; Inspections 6y lhe District are;MANDA701�Y;and;shalf be arranged by cont�cNn� th�,bf�tnct!s office;at 84429200:one"lo;four;hours in edv"anCe.,All new construction will6�`pl�ced 'o`h blliing 'siz• _. . ,.,,yq , � r- �,.f. �ya�R�v= - "> ,.. . months�after connection fias,been made •�y,: ' : ` ' � ,, ;,• � �,� . .., � .,�, , ;, a �u , ,. U.,. � By;s,igning_below�'Lrattest thai I am�familiar wdh.the�DistncYs speciNe��wns and a�r��310 accept. re'sponsifiility,forall wo�k done,under this pemilf. -,. , „ e ,�, �„ ��;� � . ;i � . , ��a�.2 _ . . _ , : Builder/Owner'Signature Phone `�,,0�• � �`y�'O � G= . ,; F : � Inspection FeeiPaid $5�.�0 �l .� �e pians subn � ;,� �',� (� � . F� 9 ��a� � �,. . �Permit issued this�d' day of �� 199� �, e�� ��'�'� � � �� � ��. �, , 4i �� ' e �� ! JayW. Iley,;,UtilityManager ,�P,� � o�-., � �; �,5 . � �� , � „ �� ' ;��; �SH/PREG10Na�' � JI \ fi Pe�init valid only wdti"C7 se�i imred ink;, : x�� ; � �' . � fN:,11-07 881[IP � .. ^�{ ' - . . . � e� , •2 S ' . ' . . ...� � i _ . � �i. • . . . - . .